Josh Chlam

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

0301211 Issued in OH

Practice address

431 Lisa Dr
Lodi, OH 44254-1145

Phone

(330) 621-2000

NPI assigned

Dec 27, 2020

Last updated

Dec 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609027200000",
    "number": "1326635269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 LISA DR",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541145",
            "telephone_number": "330-621-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 LISA DR",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541145",
            "telephone_number": "330-621-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHLAM",
        "first_name": "JOSH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-27",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "0301211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Lodi, OH
• Providers in Lodi, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.